ALS can manifest many ways but physical fatigue is high on the list of common symptoms. My earliest symptoms included fatigue during exercise, labored breathing, and, strangely, sweating.

During our road trip we visited a museum which included an outdoor tour that took about 20-minutes and included some time standing in the sun.

I almost fainted.

That was new. Sure, I’m of retirement age, but I have exercised daily for many years so anything that resembled an odd sweating episode and a need to sit down and take in extra fluids was new and different.

That was a sign of things to come.